Qual Tech Circuits Inc..............Online Quotation

If you have the Drawing and Data file, please email with the required quantity to

pcbsales@qualcirc.com

Otherwise please fill up the form below: This information will help expedite the quotation process and will ensure more accurate pricing. Please call QUAL TECH CIRCUITS at 630-543-5200, if you require assistance in filling out the quotation form. Price adjustments may be necessary if the information on this form does not accurately reflect actual requirements.

Company Name:
Address:
City:
State:
Zip:
Phone Number:
Fax Number:
Email Address:
Purchasing Contact Name:
Engineering Contact Name:

Part Number:

Revision:

Quantity:

Qtty1:

Turnaround Time:

Qtty2:

Turnaround Time:

Qtty3:

Turnaround Time:

Qtty4:

Turnaround Time:

Job Status:

If this is a repeat order skip rest of the form and click Submit Quote at the end:

Board Size:

Board Type:

if Multi Layers No. of Layers:

Material Type:

If Other, specify:

Material Thickness:

If Other, specify:

Finished Copper Weight:

(Outer Layer)

Copper Weight:

(Inner Layer)

Minimum Line Width:

mils

Minimum Spacing:

mils

Surface Mount:

Smallest Pitch:

No. of Smt Pads On Comp Side:

No. of Smt Pads On Solder Side:

Holes: Quantity:

Number of Sizes:

Smallest Hole Size:

Panel Routing:

If Yes:

Routed Panel Size:

Solder Mask:

Mask Type:

Silk Screen:

Surface Finish:

if Other Specify:

Gold Tabs:

Electrical Test:

Special Requirements:

Thank you for your quotation. You will receive a reply shortly.
Please contact Qual Tech Circuits, at 630-543-5200, if you require assistance with this form:

pcbsales@qualcirc.com